Provider Demographics
NPI:1912227638
Name:KHOBIARIAN, RAFI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAFI
Middle Name:
Last Name:KHOBIARIAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 E MAGNOLIA BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1132
Mailing Address - Country:US
Mailing Address - Phone:818-260-0062
Mailing Address - Fax:818-260-0089
Practice Address - Street 1:337 E MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1132
Practice Address - Country:US
Practice Address - Phone:818-260-0062
Practice Address - Fax:818-260-0089
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59674183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist